Calquence Coupon - Calquence 100mg capsule
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Calquence Coupon - Calquence 100mg capsule

Calquence Medicare Coverage


Does Medicare cover Calquence?

100% of Medicare Part D and Medicare Advantage plans cover this drug.

How much is my Calquence co-pay with Medicare?

It depends. Which coverage stage are you in? Click on a tab below…

Donut Hole
Post-Donut Hole
Co-Pay Range
$4367 – $16174
In the Deductible co-pay stage, you are responsible for the full cost of your prescriptions. Your Medicare deductible cannot exceed $360 in 2016.
Co-Pay Range
$4043 – $16174
In the Typical co-pay stage, your deductible has been satisfied, and Medicare pays the majority of your drug costs.
Co-Pay Range
$7278 – $7763
In the Donut Hole (also called the Coverage Gap) stage, you’ll pay more for your prescriptions. In 2016, the Donut Hole begins once you’ve spent $3,310 in one year.
Co-Pay Range
In the Post-Donut Hole (also called Catastrophic Coverage) stage, Medicare will cover most of your drug costs. In 2016, this stage begins once you have spent $4,850.
Want an exact price for your co-pay?

Find Your Calquence Medicare Co-Pay

Here are average co-pays for some of the most popular Medicare plans. Be sure to add your plan to see your specific co-pay. If a price is shown in red, GoodRx has found discount prices that are lower than your Medicare co-pay.

Average Co-Pay for 60 capsules of Calquence 100mg

Medicare Plan Name Average Co-Pay
AARP MedicareRx Preferred (PDP) $6416
AARP MedicareRx Saver Plus (PDP) $4043
AARP MedicareRx Walgreens (PDP) $4043
Aetna Medicare Rx Saver (PDP) $4253
Anthem Blue Cross MedicareRx Plus (PDP) $5337
Anthem MediBlue Essential (HMO) $5014
Cigna-HealthSpring Preferred (HMO) $4603
EnvisionRxPlus (PDP) $4151
Express Scripts Medicare - Choice (PDP) $7668
Express Scripts Medicare - Value (PDP) $7555
First Health Part D Value Plus (PDP) $5323
Humana Enhanced (PDP) $5337
Humana Preferred Rx Plan (PDP) $4043
Humana Walmart Rx Plan (PDP) $4043
Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost) $4367
MedicareBlue Rx Standard (PDP) $4043
SilverScript Plus (PDP) $5337
Symphonix Value Rx (PDP) $4043
TexanPlus Classic (HMO) $13465
WellCare Classic (PDP) $4120
Don't see your Medicare plan above?

Find and configure your plan to see exact co-pay prices for your meds.

Calquence Medicare Formulary Information & Restrictions

Are there any restrictions on coverage?

Some Medicare plans have restrictions on coverage of Calquence that may include:

Quantity Limits

Most Medicare plans restrict the amount of this prescription that can be purchased at one time. If you need to purchase a greater amount at one time, it may not be covered. Your options are to wait until that time period has passed before refilling, call your plan and ask for an exception, or consider using a GoodRx discount instead of Medicare to find the best price for this prescription.

Prior Authorization

Most Medicare plans will require you to obtain their authorization before they will provide coverage for this prescription. You’ll need to contact your plan and they may require you to have your health care provider fill out paperwork indicating why you need this prescription. If you do not receive authorization or don’t want to go through this process, you may want to consider using a GoodRx discount instead of Medicare to find the best price for this prescription.

What drug tier is Calquence typically on?

Tier 5

Medicare plans typically list Calquence in Tier 5 of their formulary. Tier 5 drugs are usually non-preferred brand-name drugs. Tier 5 drugs cost more than Tier 1, 2, 3 and 4 drugs.

Does your plan have restrictions?

See discount prices that can save you money when your Medicare plan doesn't work for you.

Medicare prices are provided by the Centers for Medicare and Medicaid Services (CMS). They are accurate as-of October 2018 and the information may be updated. If you encounter any issues, please let us know.
GoodRx is not sponsored by or affiliated with any of the pharmacies identified in its price comparisons. All trademarks, brands, logos and copyright images are property of their respective owners and rights holders and are used solely to represent the products of these rights holders. This information is for informational purposes only and is not meant to be a substitute for professional medical advice, diagnosis or treatment. GoodRx is not offering advice, recommending or endorsing any specific prescription drug, pharmacy or other information on the site. GoodRx provides no warranty for any of the pricing data or other information. Please seek medical advice before starting, changing or terminating any medical treatment.
In all states except Tennessee, GoodRx is considered a marketer of prescription discount cards, and is not required to register as a discount card provider. In Tennessee, GoodRx is registered as a Prescription Drug Discount Plan Operator.
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